Organization
PRIME MOVERS REHAB, INC.
Active
Organization
PRIME MOVERS REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOVENA SUSON-AGANON P.T. (PRESIDENT / CLINICAL DIRECTOR)
(321) 674-9659
Entity
Organization
Contact information
Practice address
1091 PORT MALABAR BLVD NE STE 2, PALM BAY, FL 32905-5100
(321) 674-9659
(321) 674-9659
Mailing address
919 PINE WALK CT NE, PALM BAY, FL 32905-4450
(321) 674-9659
(321) 674-9660
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9288
FL
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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